HCPro, JustCoding Inpatient - 2015 Issue 8 (February)
Beware of vendor promises regarding CDI/coder results
February 25th, 2015
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Article Overview
This article discusses how hospitals and CDI/coding professionals should evaluate vendor claims with skepticism when new procedures, documentation aids, and computer-assisted coding tools are introduced. It focuses on the broader compliance, productivity, and documentation integrity implications of vendor messaging for CDI, coding, and revenue cycle stakeholders, without serving as a coding rule reference.
Why This Topic Matters
The piece is relevant to CDI specialists, coders, physician advisors, and revenue cycle leaders who assess products or workflows that affect documentation quality and coding outcomes. It highlights the importance of validating vendor promises against real clinical practice, compliance expectations, and operational realities before implementation.
Article Sections
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New procedure
A discussion of vendor revenue projections tied to a newly offered elective procedure and the importance of comparing those projections with actual case mix and documentation realities.
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Additional diagnoses
A review of a manufacturer-supplied documentation aid and the broader compliance concerns that can arise when documentation tools are used to influence secondary diagnosis capture.
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Computer-assisted coding
An overview of vendor claims about computer-assisted coding and the operational risks, productivity concerns, and documentation review challenges associated with such systems.
What You Will Learn
- How vendor claims can shape expectations around CDI and coding outcomes
- Why documentation tools should be evaluated for compliance and workflow risk
- What broad concerns may arise when using computer-assisted coding systems
- Why CDI and coding teams should verify vendor messaging against actual practice
Who Should Read This
- Clinical documentation integrity specialists
- Coders
- Physician advisors
- Revenue cycle professionals
- Compliance teams
- Hospital administrators
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